Organization
PACKA HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHAL ANN PACKA RN (OWNER)
(907) 414-0203
Entity
Organization
Contact information
Practice address
2701 E BEECH WAY, WASILLA, AK 99654-7412
(907) 414-0203
Mailing address
2701 E BEECH WAY, WASILLA, AK 99654-7412
(907) 414-0203
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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